Diagnostic Imaging in Vascular Injuries

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What is the role of duplex in vascular injury assessment?

To monitor vascular injury progression
To guide surgical intervention in vascular trauma
To screen for vascular injury and detect intimal tears (correct)
To provide definitive diagnosis of vascular injury

Where is angiography best performed in traumatic injury settings?

In the radiology department
In the operating room (correct)
In the ICU
In the emergency department

What is the goal of haemorrhage control prior to surgery?

To dislodge any clot that has already formed
To maintain systolic blood pressure at a level suitable for brain perfusion (correct)
To raise blood pressure to increase haemorrhage
To administer fluids aggressively

What is the role of angioplasty balloon catheter in haemorrhage control?

To pass into the proximal vessel and inflate the balloon for proximal control (A) Signup and view all the answers

What is the priority in volume resuscitation after haemorrhage control?

Aggressive volume resuscitation to restore circulating blood volume (B) Signup and view all the answers

What is the goal of manual compression in haemorrhage control?

To reduce bleeding by applying direct pressure (A) Signup and view all the answers

What is the primary goal of administering warmed fluids-crystalloid, blood or clotting factors in vascular trauma patients?

To correct acidosis and hypothermia (D) Signup and view all the answers

What is the most significant complication of ligation of the external iliac artery, common femoral or superficial femoral?

Critical limb ischaemia (A) Signup and view all the answers

What is the typical pressure range in a compartment?

5-15 mmHg (A) Signup and view all the answers

What is the primary mechanism of compartment syndrome?

Intra-compartmental pressure causing capillary collapse (B) Signup and view all the answers

Which of the following is NOT a complication of vascular trauma?

Pulmonary embolism (D) Signup and view all the answers

What is the primary indication for thrombectomy in vascular trauma?

To manage thrombosis following transection (C) Signup and view all the answers

What is the recommended positioning for the foot in patients with vascular injury to prevent contracture?

Neutral position (C) Signup and view all the answers

What is the typical timeframe for closing an incision for fasciotomy?

Three to five days (D) Signup and view all the answers

What is the primary concern in managing patients with popliteal artery injury?

Controlling haemorrhage (A) Signup and view all the answers

What imaging modality is typically used to diagnose vascular injury?

CT angiogram (B) Signup and view all the answers

What is the treatment of choice for a transected popliteal artery?

Interposition vein graft (A) Signup and view all the answers

What is the typical source of the interposition graft used to repair the popliteal artery?

Lt great saphenous vein (C) Signup and view all the answers